Individual
MANJULA GRAMA ANANTHRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3934
Mailing address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3934
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
0101231760
VA
207RC0000X
Cardiovascular Disease Physician
0101231760
VA
207RC0000X
Cardiovascular Disease Physician
23286
NE
Other
Enumeration date
03/23/2007
Last updated
07/17/2025
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